Countryside Adult Family Care Home

Organization Active NPI Assisted Living Facility · Buxton, ME

NPI 1124262845 · NPPES record last updated Apr 24, 2009

Key facts

NPI
1124262845
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
ALLS3163 (ME)
Legal business name
COUNTRYSIDE ADULT FAMILY CARE HOME
Practice address
1334 Long Plains Rd
Buxton, ME 04093-6052
Phone
(207) 929-5787
NPI assigned
Apr 24, 2009
Organization subpart
No

Authorized official

Name
Mrs. Nancy Tapec Atienza
Title
Administrator
Phone
(207) 929-5787

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS3163 ME Yes

Addresses

Primary practice location

1334 Long Plains Rd
Buxton, ME 04093-6052

Mailing address

1334 Long Plains Rd
Buxton, ME 04093-6052
Phone (207) 929-5787

Other providers in Buxton, ME

All providers in Buxton, ME · Assisted Living Facility in Maine

Sources for this page

Verify at the official NPI Registry.